PL-14-1359 e ,
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972 � Lq
' 3qG_
inspection Number: INSP-229012 Permit Number: PL-6-14-1359
Inspection Date: February 26,2015 Permit Type: Plumbing- Residential
Inspector: Diaz,Osvaldo
Inspection Type: Final
Owner: PALMISANO,INGRID&ERIC Work Classification: Gas
Job Address:1035 NE 86 Street
Miami Shores, FL Phone Number
Parcel Number 1132060143730
Project: <NONE>
Contractor: LONCUS PLUMBING CONTRACTORS INC Phone: (305)218-1004
Building Department Comments
GAS Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-228472. CREATED AS
REINSPECTION FOR INSP-214818. PROVIDE DROP TEST
AND MAKE SHUT OFF TO STOVE ACCESSIBLE FOR STOVE
Failed E:1
Correction 41
Needed ❑ ,1�
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
For Inspections please call: (305)762-4948
February 25,2015 Page 1 of 1
��o��SS Miami Shores Village
l d Building Department JUN 19 2014
Sr,
>� 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 �✓ - _I
6 r Tel:(305)795-2204 Fax:(305)756-8972
4W INSPECTION LINE PHONE NUMBER:(30S)762-4949
�� FBC 20 �Q
BUILDING Master Permit No A_V'" 9
PERMIT APPLICATION Sub Permit No.& Z y --
F-1 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
A. AlCONTRACTOR DRAWINGS
JOB ADDRESS: l �f S'T
City Miami Shores County Miami Dade zip: 3
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 12JG d" IA/GPD 'f ttWK AJ_0 Phone#:
Address: /03S- N f 96 ��L
City: P!AV I S4,0f-4 5 State: FL Zip: 53/ 5�
Tenant/Lessee Name: Phone#:
Email: P42-,4415,4A/0 _T l7 A41,4 M( GOi1A1-7� Or'<-�
CONTRACTOR:Company Name: Z—&'A.-)`%yy (�L 4,1M31N(7 Phone#:
Address: IS 00 660 -70 favi
City: 'm(hm/ State: I'r C.- Zip: :3
Qualifier Name: �F-m3 j5(Z-ro 43E-U,4 Phone#:
State Certification or Registration#: G rG 10 1`"{%� �� 6 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ :,„� � _ Square/Linear Footage of Work:
Type of Work: El Addition El Alteration �ew ❑ Repair/Replace ❑ Demolition
Description of Work: �'Ov�a 4 4N b f/A/11 S 1+ !re-tjOi✓ *A/1�) F_go u T
T-Of- N E AW i{oM L- BOO C` (.� s
Specify color of color thru tile:
Submittal Fee$ Permit Fee,$ $36o, X- CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absefice of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
1-4
OWNER or AGENT O TRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrUient Was acknowledged before me this
�29 day of ZTVA/L 20 /`{ ,by ��day of �u 'E- 20 /4/ ,by
144 i'llb J,!f1- 15AA1V ,who is personally known to �3�Lu� ,who is personally known to
Zpmg' n
me or who has produced as me or h 7has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign• Sign*
Print: f�Ot3t c' P Print: iZ0'P-F' -Z Atv1,6P}ty
Seal: E44
Notary Public State of Fiorlda Seal:
Robert MurphyMF_xpires Og/22i2018 201088 P Notery Public State of Florida
My coRobeMurphy
My Commission EE 201088
APPROVED BY /--6. Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)